| NPI | 1730294927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OH 35-057671) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35-057671) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2008-05-15 |